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Contact Information

FAWAZ ALOTAIBI, DDS
1541 KINGS HWY
SHREVEPORT, LA71103-4228
 Phone: 318-626-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for FAWAZ ALOTAIBI · (Male)

NPI Number 1033544010
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/09/2013
Last updated 11/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • LA License # 7144
Hospital affiliation(s)
  • E A CONWAY MEDICAL CENTER - (Acute Care)
    4864 JACKSON STREET
    MONROE, LA 71202
  • LSU HEALTH SCIENCES CENTER - SHREVEPORT - (Acute Care)
    1541 KINGS HIGHWAY
    SHREVEPORT, LA 71103
  • RAPIDES REGIONAL MEDICAL CENTER - (Acute Care)
    211 4TH STREET
    ALEXANDRIA, LA 71301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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